MARY STOLLER (PT, DPT) – Physical Therapist, NPI 1922457274

MARY STOLLER (PT, DPT) is a healthcare provider. based in South bend, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 05011538A (IN). The NPI Number for MARY STOLLER (PT, DPT) is 1922457274

Main info

Female
12 Years Of Experience
Name
MARY STOLLER (PT, DPT)
NPI
1922457274
Phone
(574) 233-5754
Address
1005 N HICKORY RD
Enumeration Date
8 June 2016
Last Update Date
8 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742335754
Graduation Year
2014 (12 years ago)
PAC ID
0244527091
Group Practice PAC ID
0446386650
Professional Enrollment ID
I20160922001719
Address ID
IN466153723SO1005XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

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Provider Addresses for MARY STOLLER (PT, DPT)

  • Hickory Road, South Bend, Saint Joseph County, Indiana, 46614, United States

    SOUTH BEND, IN 466153723

    Phone: (574) 233-5754

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160922001719IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities4,416258$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care762120$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes68199$0
97140Therapy procedure using manual technique, each 15 minutes631104$0
97033Application of medication using electrical current, each 15 minutes30952$0
View full utilization report →

Insurance plans in this area (ZIP 46615)

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Provider's Procedures

MARY STOLLER (PT, DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27745

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446386650View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
-FL
-IN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Can I cross-check MARY STOLLER (PT, DPT) using NPI 1922457274?
NPI 1922457274 belongs to MARY STOLLER (PT, DPT); compare other details if you need extra assurance.
Active or inactive — what applies to MARY STOLLER (PT, DPT)?
You should see MARY STOLLER (PT, DPT) as active in CMS-hosted NPPES data.
What expertise is attributed to MARY STOLLER (PT, DPT)?
MARY STOLLER (PT, DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MARY STOLLER (PT, DPT) located near South Bend?
MARY STOLLER (PT, DPT) currently maps to South Bend, Indiana in this extract.
Can I trust this NPI listing for MARY STOLLER (PT, DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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